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O. Z. Plous, K. A. Blackmer, B. R. Garretson, J. G. Gross, S. M. Friedman; Spontaneous Closure of Recurrent Post Surgical Macular Holes. Invest. Ophthalmol. Vis. Sci. 2008;49(13):4682.
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To evaluate the natural history, OCT imaging results, and visual acuity outcomes in eyes which experienced spontaneous closure of a recurrent macular hole after initial successful surgical intervention.
A retrospective chart review was performed on the medical records of patients who presented with macular holes that developed after successful macular hole surgery and which spontaneously closed without further intervention.
Five eyes in five patients experienced spontaneous closure of a macular hole which developed after successful surgical repair. The time to presentation for recurrent macular hole ranged from 11 to 85 months. The time to spontaneous closure of the recurrent macular hole ranged from 2 to 30 weeks. OCT imaging confirmed the closure and revealed normal foveal contour in all five eyes which experienced recurrent post-operative macular holes. Final best corrected visual acuity ranged from 20/20 to 20/40.
Although uncommon, spontaneous closure of a recurrent macular hole after successful surgical intervention should be considered in the management of recurrent post-operative macular holes.
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